针刺联合臭氧椎旁注射治疗带状疱疹后遗神经痛的临床研究  

Clinical study of acupuncture combined with three oxygen in the treatment of postherpetic neuralgia

作　　者：姬成茂[1] 袁小华[1] 陈霞 朱和玲[2] 谭国雄 Department of Rehabilitation Medicine;the Fifth People＇s Hospital of Dongguan;Donggnan;Guangdong;China(Ji CM, Yuan XH;Department of Dermatology, the Fifth People ＇s Hospital of Dongguan, Dongguan, Guangdong 523900, China（ Chen X , Zhu HL;Department of General Surgery,the Fifth People＇s Hospital of Dongguan , Dongguan , Guangdong 523900, China（ Tan GX)

机构地区：[1]东莞市第五人民医院暨南大学医学院附属东莞医院康复医学科,广东省东莞523900 [2]东莞市第五人民医院暨南大学医学院附属东莞医院皮肤性病科,广东省东莞523900 [3]东莞市第五人民医院暨南大学医学院附属东莞医院普通外科,广东省东莞523900

出　　处：《中国基层医药》2018年第9期1125-1129,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：广东省东莞市科学技术局医药卫生类项目（201610515000490）

摘　　要：目的 探讨针刺联合臭氧椎旁注射治疗带状疱疹后遗神经痛的临床疗效.方法 将70例颈胸腰骶部带状疱疹后遗神经痛患者,采用随机数字表法分为对照组（传统针灸＋加巴喷丁胶囊口服＋百乐眠胶囊口服组）和观察组（腹针＋浮针＋臭氧椎旁注射组）,每组35例.观察两组患者治疗后的临床疗效、治疗前后睡眠状况（SRSS）评分、焦虑状态（HAMA）评分和疼痛视觉模拟（VAS）评分.结果 观察组的疗效显著优于对照组的疗效（91.43％比65.71％）（χ2=6.873,P〈0.05）,观察组治疗后SRSS、HAMA、VAS评分均优于对照组[SRSS：（17.23±3.36）分比（10.79±2.48）分,t=8.472,P〈0.05;HAMA：（12.14±2.62）分比（8.49±2.77）分,t=7.251,P〈0.05;VAS：（3.19±0.98）分比（1.87±0.68）分,t=6.919,P〈0.05）].结论 采用针刺联合臭氧椎旁注射治疗带状疱疹后遗神经痛,疗效显著,无不良反应,具有较高的临床应用价值.Objective To explore the clinical efficacy of acupuncture combined with three oxygen in the treatment of postherpetic neuralgia. Methods According to the digital table, 70 patients with neck thoracolumbar sacral postherpetic neuralgia were randomly divided into control group （ conventional acupuncture plus oral gabapentin ＋Bailemian capsule oral group） and observation group （abdominal acupuncture ＋ floating needle ＋ three oxygen paravertebral injection group ）, 35 cases in each group. The clinical efficacy, sleep state （ SRSS ）, anxiety state （HAMA） and visual analogue scale （VAS） of the two groups were observed and recorded after treatment. Results The curative effect of the observation group was significantly better than that of the control group （91.43% vs. 65.71%, χ2 = 6. 873, P 〈 0.05 ） , and the SRSS, HAMA and VAS scores after treatment in the observation group were better than those in the control group [ SRSS ： （ 17.23 ± 3.36 ） points vs. （ 10. 79 ± 2.48 ） points, t = 8. 472, P 〈 0.05 ; HAMA：（12.14 ±2.62）points vs. （8.49± 2. 77 ） points , t =7. 251,P 〈0.05;VAS： （3.19 ±0.98） points vs. （1.87 ±0. 68）points,t = 6. 919, P 〈 0.05 ）]. Conclusion Acupuncture combined with three oxygen in the treatment of postherpetic neuralgia has significant curative effect,without toxic and side effects,it has higher clinical practical value.

关 键 词：针刺疗法 神经痛 带状疱疹后 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]